CAJ | 학술논문

目的：观察单侧腰麻在高龄患者髋关节置换手术应用的麻醉效果及其对血流动力学的影响。方法选择年龄80~99岁,ASA分级Ⅱ~Ⅲ级行髋关节置换手术的患者40例,随机分成分两组,单侧腰麻组( A组)和常规腰麻组(B组),均以0．375%重比重布比卡因2mL为麻醉药,分别评定麻醉效果,记录两组麻醉起效时间、阻滞平面术始、术毕双下肢的Bromage评分及不良反应。结果两组患者术中麻醉效果均满意。 A组低血压、尿潴留发生率明显低于B组( P<0．05),A组各时点健肢Bromage评分明显低于患肢(P<0．05),两组患者麻醉起效时间、麻醉平面及维持时间差异无统计学意义(P>0．05)。结论单侧腰麻用于高龄患者髋关节置换手术麻醉效果好,对患者血流动力学影响小,不良反应少,是一种效果好而可行的麻醉方法。
목적：관찰단측요마재고령환자관관절치환수술응용적마취효과급기대혈류동역학적영향。방법선택년령80~99세,ASA분급Ⅱ~Ⅲ급행관관절치환수술적환자40례,수궤분성분량조,단측요마조( A조)화상규요마조(B조),균이0．375%중비중포비잡인2mL위마취약,분별평정마취효과,기록량조마취기효시간、조체평면술시、술필쌍하지적Bromage평분급불량반응。결과량조환자술중마취효과균만의。 A조저혈압、뇨저류발생솔명현저우B조( P<0．05),A조각시점건지Bromage평분명현저우환지(P<0．05),량조환자마취기효시간、마취평면급유지시간차이무통계학의의(P>0．05)。결론단측요마용우고령환자관관절치환수술마취효과호,대환자혈류동역학영향소,불량반응소,시일충효과호이가행적마취방법。
Objective To determine the effect of unilateral spinal anesthesia with hip replacement surgery on very elderly patients. Methods Forty patients aged 80 to 99 years old undergoing hip replacement surgery were devided randomly into two groups with 20 cases each and both received hyperbaric 0. 375% bupivacaine 2ml. Group A received unilateral spinal anesthesia and group B received general spinal anesthesia. The anesthetic effect and Bromage score were recored. Results All patients a-chieved satisfactory block. The incidence of hypotension and uroschesis in group A were lower than that in group B(P<0. 05). The Bromage score of right lower limb were lower than those the broken one in group A(P<0. 05). Conclusion Unilateral spi-nal anesthesia with hip replacement surgery on very elderly patients provided less hemodynamic changes and less complications.